East Trees Health Centre

Updated 11 December 2018

Eastville Medical Practice

East Trees Health Centre

100A Fishponds Road,

Eastville

Bristol BS5 6SA

Eastville Medical Practice has a three GP and one business partner partnership and employs four salaried GPs and one GP retainer. GP’s of both genders are working alongside an advanced nurse practitioner, nurse prescribers, practice nurses, pharmacists and health care assistants. The clinical team is supported by a team of receptionists, secretarial staff and administrators.

The South West UK Census data (2011) shows 55.4% of the population are recorded as being from the black or minority ethnic community. People from different backgrounds may have an increased risk of developing certain conditions such as a prevalence of diabetes in people for the South Asian regions.

Public Health England's national general practice profile shows the practice has a significantly higher population of patients aged between 20 and 45 years old at 46.5% of the patient population, and a lower than average group of patients aged 65 or over at 12.2% which is lower than the England average of 27% over 65 years.

The practice population has high levels of deprivation. The Index of Multiple Deprivation 2015 is

the official measure of relative deprivation for England. The practice population is ranked at decile 2 which is the second highest level of deprivation. The Bristol area Quality of Life Survey (April 2018 Report) indicated that a much higher proportion of people living in deprived areas (45%) have a long-term illness, health problem or disability that limits their daily activities. In Bristol 1 in 2 residents (51%) are overweight or obese, rising to 3 in 5 (60%) in the most deprived areas. There are more households in deprived areas where someone smokes (29% vs. 22%) and, additionally, more households where residents smoke within the home (12% vs. 6%) and so may be at more risk of passive smoking.

The practice has opted out of providing out-of-hours services to their own patients. Patients can access NHS 111 and out of hours services from information on the practice website.

The practice is registered to provide the following regulated activities:

Family planning

Diagnostic and screening procedures

Treatment of disease, disorder or injury

Surgical procedures

Maternity and midwifery services

The practice provided an additional private specialised service to provide circumcision for boys between one to six months old. Specialised staff were trained by a consultant urologist and a local paediatric urological consultant who provide on-going support the practice.

Updated 11 December 2018

This practice is rated as Good overall. (Previous rating December 2014 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Eastville Medical Practice on 23 October 2018 as part of our inspection programme.

At this inspection we found:

• The practice was sensitive to the cultural needs of their patient population, they organised and delivered services to meet patients’ needs and preferences.
• The practice worked in partnership and hosted, a number of organisations which could impact positively on the local community.
• We found there was an established enthusiastic partnership with good leadership and positive culture for developing and improving services.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw one area of outstanding practice:

• The practice worked in partnership and hosted a number of organisations which could impact positively on the local community, for example they ran the Rose Clinic (a surgical reversal service for victims of female genital mutilation) for the Bristol area. To support patients to attend the Rose Clinic the practice had employed a clinically trained support worker who was able to translate for patients and had experience and understanding of the cultural nuances which may affect the women attending.

The areas where the provider should make improvements are:

• To take action to improve the uptake of cervical smears.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 11 December 2018

Updated 11 December 2018

Updated 11 December 2018

Updated 11 December 2018

Updated 11 December 2018

Updated 11 December 2018